Expertise in Gastro & Liver

Endoscopic Procedures

Endoscopic procedures are carried out with the latest high-definition video endoscopy systems, using internationally accepted disinfection protocols and monitoring of pulse, blood pressure and oxygen saturation.
The endoscopic procedures offered include the following :-

Related to Upper GI Endoscopy

• Endoscopic removal of inadvertently swallowed foreign bodies
• Biopsy and testing for Helicobacter pylori
• Injection sclerotherapy and rubber band ligation of esophageal varices
• Super-glue injection for gastric varices
• Dilatation of narrowing of the foodpipe or stomach outlet 
• Injection therapy, heater probe, metal clip or argon plasma coagulation for control of bleeding from ulcers
• Self-Expanding Metal Stent for cancer of the foodpipe, stomach and small intestine 
• Placement of naso-jejunal feeding tube and percutaneous endoscopic gastrostomy tube. 
• Placement of gastric balloon for treatment of obesity

Related to Biliary system and Pancreas

• Endoscopic Retrograde Cholangio-Pancreatography (ERCP)
• Lithotripsy andextraction of large stones from the bile duct and pancreatic duct.
• Deployment of stents for benign and malignant biliary strictures
• Endoscopic ultrasound guided drainage of pancreatic  pseudocysts

Related to Intestines

• Colonoscopy and ileoscopy
• Power Spiral Enteroscopy for small intestine
• Capsule endoscopy
• Endoscopic polypectomy
• Injection therapy, heater probe, metal clip or argon plasma coagulation for control of bleeding from ulcers
• Self-Expanding Metallic Stents for advance cancer of the colon

Endoscopic Ultrasound (EUS)

• Diagnostic EUS for diagnosis of submucosal lesions, pancreatic and biliary disorders including microlithiasis
• Accurate staging of cancers of the food pipe, stomach, colon, pancreas
• EUS guided fine needle aspiration cytology / biopsy / cell block for lymph nodes in the chest/abdomen, mass lesions of the pancreas, gall bladder and liver. Facility for Rapid On Site Evaluation (ROSE) and special stains, immune-histochemistry and PCR for tuberculosis.
• EUS guided drainage of pancreatic pseudocysts and malignant bile duct obstruction

Symptoms and Disorders Treated

• Related to food pipe: heart burn, difficulty in swallowing, foreign body impaction, vomiting of blood, cancer of food pipe.
• Related to stomach and duodenum: dyspepsia, vomiting, peptic ulcer, gastritis, stomach cancer, helicobacter pylori infection.
• Related to intestines: diarrhea, constipation, weight loss, gaseous bloating, worm infestation, colitis, bleeding from rectum, colon cancer.
• Related to liver: loss of appetite, deranged liver function test, fatty liver, viral hepatitis, chronic hepatitis B and C, alcoholic liver disease, obstructive jaundice due to bile duct stones or cancer, complications of cirrhosis like fluid in the abdomen, hepatic coma.
• Related to pancreas: pain abdomen, malabsorption.

Equipment

• High definition video-endoscope and colonoscope
• Power Spiral Enteroscope
• Ultrathin trans-nasal and pediatric endoscope
• Capsule endoscopy system
• Radial endoscopic ultrasound
• Linear endoscopic ultrasound 
• Fibroscan
• High resolution manometry and biofeedback
• 24-hours Esophageal pH-metry
• Breath test for Helicobacter pylori
• Breath test for Lactose Intolerance & SIBO